WEBINAR: OPPS & MPFS Final Update for 2020
Course Curriculum
Both the outpatient prospective payment system (OPPS) and the Medicare physician fee schedule (MPFS) continue to evolve. OPPS in the form of ambulatory payment classifications is now being significantly changed. For MPFS, there are significant changes coming for evaluation and management (E/M) coding. There are efforts to eliminate the global surgical package (GSP). Telemedicine will be a very active area in the next several years. Provider-based clinics continue to be an area of concern. The implementation of the merit-based incentive payment system (MIPS), as well as various advanced payment models, continues.
The final changes for 2020 involve significantly increased packaging in several forms. There are further adjustments for device-dependent APCs, along with changes generated by cost reporting. There are comprehensive APCs. These changes started in 2008 and continue to accelerate, particularly with observation services. Given additional changes for current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), the impact on APCs are revolutionary. Additionally, the Centers for Medicare and Medicaid Services (CMS) is addressing the physician supervision issue with a major change that will impact both hospitals and physicians.
Learning Objectives
At the completion of this program, participants will be able to:
1. Discuss the proposed and finalized changes for MPFS and OPPS for 2020.
2. Identify the general trends for MPFS and OPPS, particularly payment impacts.
3. Explain MIPS, the substantial growth rate (SGR) and advanced payment models being promulgated by CMS.
4. List activities and anticipated changes for telehealth.
5. Describe changes made relative to observation services, associated packaging and the need for special billing for packaged items that are not normally paid through APCs.
6. Discuss how recent changes in the cost reporting process affect APCs payments.
Speaker:
Duane Abbey, PhD, CFP
Abbey & Abbey Consultants
Management Consultant and President
Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics for more than two decades.
He focuses on the areas of compliance, payment and delivery systems. In addition to consulting, he is an invited presenter for hospital associations, medical societies and other professional groups. Dr. Abbey is an established health care author.
The speaker has no real or perceived conflicts of interest that relate to this presentation. |
| |
|
|
|
| |
| |
| |
| |
|
|